Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study

Abstract Background Foreign workers are at risk for depression, and Vietnamese people tend to be reluctant to seek professional mental health care. Although Vietnamese people are the largest population among foreign workers in Japan, evidence concerning their help-seeking experiences and strategies...

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Main Authors: Yui Fukuda, Atsuko Taguchi, Akane Futami, Yusuke Umegaki, Pham Nguyen Quy, Toshihiko Nakajima, Akihito Uezato
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21615-9
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author Yui Fukuda
Atsuko Taguchi
Akane Futami
Yusuke Umegaki
Pham Nguyen Quy
Toshihiko Nakajima
Akihito Uezato
author_facet Yui Fukuda
Atsuko Taguchi
Akane Futami
Yusuke Umegaki
Pham Nguyen Quy
Toshihiko Nakajima
Akihito Uezato
author_sort Yui Fukuda
collection DOAJ
description Abstract Background Foreign workers are at risk for depression, and Vietnamese people tend to be reluctant to seek professional mental health care. Although Vietnamese people are the largest population among foreign workers in Japan, evidence concerning their help-seeking experiences and strategies to promote help-seeking in this population is lacking. This study aimed to identify the percentage of Vietnamese migrant workers in Japan who have sought help from healthcare professionals for depressive symptoms and to explore the factors related to their intentions to seek help from a psychiatrist. Methods An online questionnaire was administered to Vietnamese migrants working in Japan from October 5, 2021, to November 1, 2021. Patient Health Questionnaire-9 (PHQ-9) scores were calculated to measure the severity of the respondents’ depression. Help-seeking experiences related to depressive symptoms were also investigated. The General Help-Seeking Questionnaire Vignette Version (GHSQ-V) was modified and adapted to measure the respondents’ intention to seek help from a psychiatrist for depressive symptoms. To investigate the factors related to help-seeking intention, potential factors were selected from literature reviews and discussions with professionals in the field. Descriptive statistics were calculated, and multiple logistic regression analysis was conducted. Results A total of 803 eligible data points were collected. Among the 53.5% of participants who scored 10 or more on the PHQ-9, 4.4% had sought help from a healthcare professional in Japan. A lower preference for coping on one’s own, greater recognition of the effectiveness of help, greater ability to make work adjustments, and a higher level of Japanese language proficiency were related to greater intentions to seek help from a psychiatrist. Conclusions Many Vietnamese migrant workers in Japan are unable to seek help from healthcare professionals for depressive symptoms. It may be beneficial to acknowledge not only linguistic barriers but also other related factors when planning strategies to enhance Vietnamese migrant workers’ intentions to seek help from psychiatrists.
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spelling doaj-art-71c93c9d737e4c84a86c9034155fa6e42025-02-02T12:46:18ZengBMCBMC Public Health1471-24582025-01-0125111410.1186/s12889-025-21615-9Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional studyYui Fukuda0Atsuko Taguchi1Akane Futami2Yusuke Umegaki3Pham Nguyen Quy4Toshihiko Nakajima5Akihito Uezato6Graduate School of Health Management, Keio UniversityFaculty of Nursing and Medical Care, Keio UniversityGraduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityCourse of Clinical Psychology, Faculty of Human Life and Environment, Nara Women’s UniversityDepartment of Medical Oncology, Kyoto Miniren Central HospitalClover Plus Co., LTDCenter for Basic Medical Research, International University of Health and WelfareAbstract Background Foreign workers are at risk for depression, and Vietnamese people tend to be reluctant to seek professional mental health care. Although Vietnamese people are the largest population among foreign workers in Japan, evidence concerning their help-seeking experiences and strategies to promote help-seeking in this population is lacking. This study aimed to identify the percentage of Vietnamese migrant workers in Japan who have sought help from healthcare professionals for depressive symptoms and to explore the factors related to their intentions to seek help from a psychiatrist. Methods An online questionnaire was administered to Vietnamese migrants working in Japan from October 5, 2021, to November 1, 2021. Patient Health Questionnaire-9 (PHQ-9) scores were calculated to measure the severity of the respondents’ depression. Help-seeking experiences related to depressive symptoms were also investigated. The General Help-Seeking Questionnaire Vignette Version (GHSQ-V) was modified and adapted to measure the respondents’ intention to seek help from a psychiatrist for depressive symptoms. To investigate the factors related to help-seeking intention, potential factors were selected from literature reviews and discussions with professionals in the field. Descriptive statistics were calculated, and multiple logistic regression analysis was conducted. Results A total of 803 eligible data points were collected. Among the 53.5% of participants who scored 10 or more on the PHQ-9, 4.4% had sought help from a healthcare professional in Japan. A lower preference for coping on one’s own, greater recognition of the effectiveness of help, greater ability to make work adjustments, and a higher level of Japanese language proficiency were related to greater intentions to seek help from a psychiatrist. Conclusions Many Vietnamese migrant workers in Japan are unable to seek help from healthcare professionals for depressive symptoms. It may be beneficial to acknowledge not only linguistic barriers but also other related factors when planning strategies to enhance Vietnamese migrant workers’ intentions to seek help from psychiatrists.https://doi.org/10.1186/s12889-025-21615-9Help seekingDepressionVietnamese migrant workersJapan
spellingShingle Yui Fukuda
Atsuko Taguchi
Akane Futami
Yusuke Umegaki
Pham Nguyen Quy
Toshihiko Nakajima
Akihito Uezato
Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
BMC Public Health
Help seeking
Depression
Vietnamese migrant workers
Japan
title Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
title_full Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
title_fullStr Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
title_full_unstemmed Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
title_short Help-seeking for depression among Vietnamese migrant workers in Japan and factors related to their intentions to seek help from a psychiatrist: a cross-sectional study
title_sort help seeking for depression among vietnamese migrant workers in japan and factors related to their intentions to seek help from a psychiatrist a cross sectional study
topic Help seeking
Depression
Vietnamese migrant workers
Japan
url https://doi.org/10.1186/s12889-025-21615-9
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